HomeMy WebLinkAboutR 2017-530-E Aging - CHICLE Language Institute for class instructors DocuSign Envelope ID:00A76B12-2D1 E-4D50-98BA-D2B501 C3044E
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: CHICLE Language Institute Party/Vendor Contact Person: Perla Saitz Contact Phone:919-933-
0398 Party/Vendor Address: 109 Conner Dr., Ste 2200 City Chapel Hill State: NC Zip: 27514 Department: Aging
Amount: $14,950 Purpose:class instructors Budget Code(s): 10430120-629000 Vendor#43840 (N/A if new vendor)
Vendor is a BOCC consultant? Yes ❑ No Contract Type: (Check one) New ❑ Renewal ® Amendment ❑
Effective Date 9/01/17 Approved by Board Yes III No Agenda Date:
This agreement is approved as to technical form and content:
DocuSigned by:
fi turDepartment Director's Signature lo- y Date: 9/26/2017
B7E962D1 BF454FA...
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned""by:
''111L
Office of the Risk Management Officer aLlSa �,bvvutt0 Date: 9/27/2017
7FDCF9176800498...
Financial Services
This instrument has been pre-audited in the DocuSigned manner by:required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial OffiL cer q ' °' '12°'L Date:Aate: 9/27/2017
7D4E5181ACC1409...
Legal Services
This agreement is approved as to legal oru Igoe r1 a y:sfficiency:
oc
Office of the County Attorney ✓ -( „ Date: 9/28/2017
4035CB8304CA4A9...
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 2/17 5